软通道术在颅内脑室系统引流的应用

The clinical study on the treatment of intraventricular hemorrhage by minimally invasive surgery

目的探讨应用微创介入技术（软通道术式）在颅内脑室系统单双侧引流术中应用的价值。方法选择脑室系统积血患者50例，根据脑室积血量及形态与原发病，选择适宜的单侧或双侧脑室外引流进行血肿排空治疗。结果治疗单侧22例，双侧28例共50例脑室积血病人脑脊液外引流术。死亡3例，病死率6％，出院时按日常生活能力评定表（ADL）、Barthel指数（BI）记分；ADL1 15例（30％），ADL218例（36％），ADL38例（16％），ADL44例（8％），ADU2例（4％）。结论应用微创介入技术（软通道术式）在颅内脑室系统单双侧引流术中应用操作简单，并发症少，疗效满意。

Objective To evaluate the effect of minimally invasive therapy for treating intraventricular hemorrhage. Methods The minimally invasive therapy with unilateral or bilateral drainage were received according to quantity and shape of intraventricular hemorrhage. Results It was operated 22 cases with unilateral drainage and 28 cases with bilateral drainage in the 50 cases intraventricular hemorrhage. Death was 3 cases and mortality rate was 6% in the minimally invasive therapy. ADL1 15 cases（30% ） ,ADL2 18 cases（36% ） ,ADL3 8 cases（ 16% ） ,ADL4 4 cases（8% ）,ADL5 2 cases （4%） in leave hospital. Conclusion Minimal invasive therapy of intraventricular hemorrhage has great superiority, such as it can operate simple, trauma mild, decrease complications and enhance curative effect. It can generalize in the basic hospital.